JENNIFER MARCELLINO (NPI# 1871699272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871699272 |
| Entity Type | Individual |
| Full Name | JENNIFER MARCELLINO |
| Other Name | JENNIFER TURNER |
| Credential | PA-C |
| Practice Address |
896 Highway 441 S Clayton GA 30525-5423 |
| Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
| Practice Telephone | 7067825991 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 003379 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 0119PA | 05 | |
| GA | 177951430B | 05 |
| Street Address |
896 HIGHWAY 441 S |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679536429 | Shannon L Robinson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-04-11 |
| 1548886351 | Alexandra Grace Thompson | Nurse Practitioner | 896 Highway 441 S, Clayton, GA 30525-5423 | 2020-06-18 |
| 1326178120 | Fred Sumner Harris | Social Worker | 896 Highway 441 S, Clayton, GA 30525-5423 | 2007-03-07 |
| 1386730943 | George C King | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-10-04 |
| 1073564480 | Kimberly J Martin | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-05-12 |
| 1447201876 | Karen J Frank | Family Medicine | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-05-12 |
| 1346299807 | Medlink Georgia Inc | Clinic/Center | 896 Highway 441 S, Clayton, GA 30525-5423 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1114483641 | Lindsey Diana Barrett | Physician Assistant | 2138 Nc Highway 42 W, Clayton, NC 27520-5300 | 2019-02-20 |
| 1558834051 | Jonathan Echeverria | Physician Assistant | 761 Slate Top Rd, Clayton, NC 27520-5984 | 2019-01-07 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1356851869 | Alexandra Kane Hom | Physician Assistant | 41 Mountaire Pl, Clayton, CA 94517-1524 | 2017-10-10 |
| 1578841334 | Megan Wester | Physician Assistant | 236 Butternut Ln, Clayton, NC 27520-5857 | 2011-07-28 |
| 1376698688 | Carrie Leigh Knaus | Physician Assistant | 2076 Hwy. 42 West, Clayton, NC 27520-5302 | 2007-01-24 |
| 1891726972 | Heather Linnea Lesieur | Physician Assistant | 5439 Clayton Rd Ste B, Clayton, CA 94517-1076 | 2006-07-06 |
| 1588623367 | Jennifer Marie Moore | Physician Assistant | 445 Hocutt Farm Dr, Clayton, NC 27527-3751 | 2006-03-21 |
| Find all providers in CLAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.